Prioritization & delegation worksheet with answers

Which capillary refill time is prolonged in an adult?

1. A1 second
2. B2 seconds
3. CLess than 1 second
4. D4 seconds

Which activity is generally within the scope of a licensed practical or vocational nurse (LPN/LVN) for a stable patient?

1. AWriting the nursing care plan
2. BTriaging new arrivals in the emergency department
3. CGiving scheduled oral medications
4. DDoing the initial admission assessment

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AWorry about body image after a mastectomy
2. BFear of slipping in the shower
3. CMissing friends from home
4. DThirst after a long period of fasting before a test

A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?

1. A“Weigh him after lunch, fully dressed, with his shoes on.”
2. B“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
3. C“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
4. D“Weigh him at any time today, on whichever scale is free.”

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AJaw thrust, keeping the head and neck in line
2. BTurning the head to the side to drain water
3. CHead-tilt, chin-lift with full neck extension
4. DRaising the chin while bending the neck forward

Which patient should a nurse see first after report?

1. AA patient with osteoarthritis who reports stiffness every morning
2. BA patient on a diuretic who has passed 400 mL of urine since 08:00
3. CA patient who wants help to shower before visitors arrive
4. DA patient with a new cast who says the foot feels numb and the toes are cool

On a cardiac step-down unit, which patient should the nurse assess first?

1. ASix hours after a coronary stent, new chest pain with ST elevation on the monitor
2. BDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
3. CAtrial fibrillation on warfarin with an INR of 2.6 this morning
4. DHeart failure, weight up 0.5 kg since yesterday, no breathlessness at rest

A patient is going home on a new oral anticoagulant. There is only a short time for teaching. Which topic is most important?

1. ASigns of bleeding and when to seek help
2. BHow to cook low-fat meals
3. CWhich television programs help with relaxation
4. DHow to choose comfortable walking shoes